title: Double trouble: preseptal cellulitis due to two species with multidrug resistance.
abstract: A 2 Year old boy presented with painful ballooning of both eyes with the 2 days history of trauma to the head while playing. His vaccination was complete. On examination he was afebrile. The Eyes were ballooned with blackish crust over both lids. On local examination, eye swelling was tense with severe tenderness. The diagnosis of Preseptal cellulitis was made .We did an Emergency drainage and pus was sent for culture that came out to be positive for Pseudomonas aeruginosa and Proteus mirabilis with multiple drug resistance. The coverage was given by Imipenem+cilastatin and child had wonderful recovery.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Naeem
authors.forename: Nasir Ali
authors.initials: NA
authors.lastname: Rahimnajjad
authors.forename: Irfan
authors.initials: I
authors.lastname: Majeed
authors.forename: Khalid
authors.initials: K
authors.lastname: Mahmood
mesh_terms: D002481:Cellulitis / Q000188:drug therapy*; D002675:Child, Preschool; D015377:Cilastatin / Q000627:therapeutic use*; D000077728:Cilastatin, Imipenem Drug Combination; D004338:Drug Combinations; D018432:Drug Resistance, Multiple; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use*; D008297:Male; D009916:Orbital Diseases / Q000188:drug therapy*; D020127:Recovery of Function
chemical_list: D004338:Drug Combinations; D015377:Cilastatin; D015378:Imipenem; D000077728:Cilastatin, Imipenem Drug Combination